Dartmouth PRC 11 Recovery & Evidence-Based Supported Employment

Dartmouth PRC2 Important themes of ________? 1. Self-directed 2. Individualized 3. Empowering 4. Holistic 5. Non-Linear 1. Self-directed 2. Individualized 3. Empowering 4. Holistic 5. Non-Linear 6. Strengths- based 7. Peer Supports 8. Respect 9. Responsibility 10. Hope 6. Strengths- based 7. Peer Supports 8. Respect 9. Responsibility 10. Hope

What is Recovery? What is not Recovery?

Dartmouth PRC4 Recovery?Recovery? “I need to be given advice and guidance about work so I won’t make any mistakes or fail”

Dartmouth PRC5 Recovery?Recovery? “ I want to work, working is what men do. Recovery means mental illness is not the center of my world. ”

Dartmouth PRC6 Recovery?Recovery? “ Someday, I hope to be compliant so I will be able to think about getting a small part-time cleaning job on the agency work crew ”

Dartmouth PRC7 Recovery?Recovery? “ Before I was really depressed. But after I started working, it was a relief. I feel better working …” “ Before I was really depressed. But after I started working, it was a relief. I feel better working …”

Dartmouth PRC8 Recovery?Recovery? “I hope that someday I will be able to work in a sheltered workshop”

Dartmouth PRC9 Recovery?Recovery? “I have a dream that someday soon I will be able to work in a sheltered setting for four hours a week”

Dartmouth PRC10Recovery?Recovery? “I have my own goals to do my own thing. That’s what gives my life meaning.” “I have my own goals to do my own thing. That’s what gives my life meaning.”

Dartmouth PRC11 Recovery?Recovery? “My life has enough meaning now that I have a psychiatrist, medications and a case manager. Why would I mess that up with work?”

Dartmouth PRC 1212 National Consensus Statement on Mental Health Recovery

Dartmouth PRC13 Self-DirectionSelf-Direction Consumers lead, control, exercise choice over, and determine their own path of recovery by optimizing autonomy, independence, and control of resources to achieve a self-determined life. By definition, the recovery process must be self-directed by the individual, who defines his or her own life goals and designs a unique path towards those goals.

Dartmouth PRC14 Individualized and Person-Centered There are multiple pathways to recovery based on an individual’s unique strengths and resiliencies as well as his or her needs, preferences, experiences (including past trauma), and cultural background in all of its diverse representations….

Dartmouth PRC15 EmpowermentEmpowerment Consumers have the authority to choose from a range of options and to participate in all decisions—including the allocation of resources—that will affect their lives, and are educated and supported in so doing….

Dartmouth PRC16 HolisticHolistic Recovery encompasses an individual’s whole life, including mind, body, spirit, and community. Recovery embraces all aspects of life, including housing, employment, education, mental health and healthcare treatment and services, complementary and naturalistic services, addictions treatment, spirituality, creativity, social networks, community participation, and family supports as determined by the person….

Dartmouth PRC17 Non-LinearNon-Linear Recovery is not a step-by-step process but one based on continual growth, occasional setbacks, and learning from experience. Recovery begins with an initial stage of awareness in which a person recognizes that positive change is possible….

Dartmouth PRC18 Strengths-BasedStrengths-Based Recovery focuses on valuing and building on the multiple capacities, resiliencies, talents, coping abilities, and inherent worth of individuals. By building on these strengths, consumers leave stymied life roles behind and engage in new life roles (e.g., partner, caregiver, friend, student, employee)….

Dartmouth PRC19 Peer Support Mutual support—including the sharing of experiential knowledge and skills and social learning—plays an invaluable role in recovery. Consumers encourage and engage other consumers in recovery and provide each other with a sense of belonging, supportive relationships, valued roles, and community.

Dartmouth PRC20 RespectRespect Community, systems, and societal acceptance and appreciation of consumers —including protecting their rights and eliminating discrimination and stigma—are crucial in achieving recovery. Self-acceptance and regaining belief in one’s self are particularly vital. Respect ensures the inclusion and full participation of consumers in all aspects of their lives.

Dartmouth PRC21 ResponsibilityResponsibility Consumers have a personal responsibility for their own self-care and journeys of recovery. Taking steps towards their goals may require great courage. Consumers must strive to understand and give meaning to their experiences and identify coping strategies and healing processes to promote their own wellness.

Dartmouth PRC22 HopeHope Recovery provides the essential and motivating message of a better future— that people can and do overcome the barriers and obstacles that confront them. Hope is internalized; but can be fostered by peers, families, friends, providers, and others. Hope is the catalyst of the recovery process….

Dartmouth PRC23 Elements of Recovery Holistic Peer Support Non- Linear Strength- Based Responsibility EmpowermentPerson Centered Self- Direction Hope Respect SE works together with other integrated services to help with all aspects of life, including housing, employment, education, substance use and mental health. SE fosters hope and motivation for a better future while helping people overcome barriers and obstacles as they achieve their own employment recovery goals. SE encourages personal responsibility for each person’s own recovery journey. SE supports people as they take steps towards achieving their employment goals and enhance their own wellness. SE works with the person’s individual strengths and resiliencies combined with each person’s own unique preferences, needs, and experiences. SE honors people’s choices and their right to exercise control of SE resources in directing their own path to obtaining and retaining employment. SE affords people the right to choose from a range of employment options and to actively participate in all employment decisions. SE services are designed to support each person’s continual growth, occasional setbacks, and ongoing learning from employment experiences. SE is not a prescribed step by step process. SE helps people move beyond stymied roles and develop new meaningful roles through employment by building on their strengths, talents, resiliencies, coping skills and recovery goals. SE promotes the sharing of personal stories by people in recovery to provide each other with hope, strategies and supportive relationships, as people develop valued employment roles in their communities. SE helps people challenge discrimination and stigma while increasing people’s own belief in one’s self and one’s abilities through competitive employment success.

Dartmouth PRC24 Recovery Concepts in IPS Supported Employment Self-directed Self-directed Individualized Individualized Empowering Empowering Holistic Holistic Non-Linear Non-Linear Strengths-Based Strengths-Based Peer Supports Peer Supports Respect Respect Responsibility Responsibility Hope Hope Self-directed Self-directed Individualized Individualized Empowering Empowering Holistic Holistic Non-Linear Non-Linear Strengths-Based Strengths-Based Peer Supports Peer Supports Respect Respect Responsibility Responsibility Hope Hope